Shocking moment #2

Just after stabilizing the woman with atrial fibrillation, I was called to the emergency department. A Congolese United Nations employee developed diarrhea just a few hours before and was now in hypovolemic shock. As I was evaluating him, he continued with profuse watery stools.

We quickly got two IVs and gave 5 liters of fluids. After an hour, he was stable. When all the dust settled, I had two thoughts.

First, “wow, this is the first case of cholera I had ever seen”.

Second, “shit, please don’t let there be a cholera epidemic here when all of the doctors are on strike!”


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